ARCHETYPE Cormack-Lehane classification (openEHR-EHR-CLUSTER.cormack_lehane.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.cormack_lehane.v1
ConceptCormack-Lehane classification
DescriptionThe Cormack-Lehane system classifies views obtained by direct laryngoscopy based on the structures seen.
UseUse to describe the structures visible during direct laryngoscopy and indirectly to indicate the likely difficulty of laryngeal intubation. This archetype has been designed to be used within a variety of ENTRY archetypes - for example an EVALUATION for a summary statement about intubation difficulties, or ACTION.procedure when recording a performed intubation. The position of the head and other relevant information will be carried in the ENTRY archetype.
MisuseNot to be used for recording Modified Cormack-Lehane grading (Yentis & Lee, 1998). Use a specific archetype for this purpose.
PurposeTo describe the structures visible during direct laryngoscopy and indirectly to indicate the likely difficulty of laryngeal intubation.
ReferencesCormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39: 1105–11.

Bjerkelund CE, Christensen P, Dragsund S, Aadahl P. [How to secure free airway?]. Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke 2010; 130(5): 507-10.

Yentis SM, Lee DJH. Evaluation of an improved scoring system for the grading of direct laryngoscopy. Anaesthesia 1998; 53(11): 1041-4.

OpenAirway. Department of Anaesthesia, University of Cape Town. [internet] Accessed 2016-03-31. http://openairway.org/tag/cormack-lehane/
Copyright© Nasjonal IKT HF
AuthorsAuthor name: John Tore Valand
Organisation: Helse Bergen HF
Email: john.tore.valand@helse-bergen.no
Date originally authored: 2016-01-06
Other Details LanguageAuthor name: John Tore Valand
Organisation: Helse Bergen HF
Email: john.tore.valand@helse-bergen.no
Date originally authored: 2016-01-06
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Nasjonal IKT, references=Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39: 1105–11. Bjerkelund CE, Christensen P, Dragsund S, Aadahl P. [How to secure free airway?]. Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke 2010; 130(5): 507-10. Yentis SM, Lee DJH. Evaluation of an improved scoring system for the grading of direct laryngoscopy. Anaesthesia 1998; 53(11): 1041-4. OpenAirway. Department of Anaesthesia, University of Cape Town. [internet] Accessed 2016-03-31. http://openairway.org/tag/cormack-lehane/, original_namespace=no.nasjonalikt, original_publisher=Nasjonal IKT, custodian_namespace=no.nasjonalikt, MD5-CAM-1.0.1=D59113D4A90DA114199DE6D2C9949C3F, build_uid=75a4eebc-7437-44c1-bc84-fea1db87011d, revision=1.0.0}
Keywordsintubation, laryngoscopy, grading, airway, glottis, epiglottis, difficult airway
Lifecyclepublished
UID556ab863-1668-426c-b47c-73367be84180
Language useden
Citeable Identifier1051.32.491
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The Cormack-Lehane system classifies views obtained by direct laryngoscopy based on the structures seen., archetypeConceptComment=null, otherContributors=Anne Pauline Anderssen, Helse Nord RHF, Norway
Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (Nasjonal IKT redaktør)
Marcus Baw, openGPSoC / BawMedical Ltd, United Kingdom
Kristian Berg, Universitetssykehuset Nord Norge, Norway
Bjørn Christensen, HUS, Norway
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Karl Trygve Kalleberg, Oslo Universitetssykehus, Norway
Lars Morgan Karlsen, DIPS ASA, Norway
Heather Leslie, Ocean Informatics, Australia (openEHR Editor)
Hallvard Lærum, Oslo Universitetssykehus HF, Norway
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Bjørn Næss, DIPS ASA, Norway
Vladimir Pizzo, Hospital Sírio Libanês, Brazil
Tanja Riise, Nasjonal IKT HF, Norway
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
Jon Tysdahl, Furst medlab AS, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)
Nils Widnes, Helse-Bergen, Norway
Thomas Wilson, Finnmarkssykehuset HF Klinikk Hammerfest, Norway, originalLanguage=en, translators=Norwegian Bokmål: John Tore Valand / Silje Ljosland Bakke, Helse Bergen HF / Nasjonal IKT HF
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={target=[], credentials=[], events=[], details=[], protocol=[], ism_transition=[], contacts=[], provider=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Grading, description=A grading of the laryngeal anatomical visibility., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Grade 1: Full view of the glottis [Full view of the glottis.]
  • Grade 2: Partial view of the glottis or arytenoids [Partial view of the glottis or arytenoids.]
  • Grade 3: Only epiglottis visible [Only epiglottis visible.]
  • Grade 4: Neither glottis nor epiglottis visible [Neither glottis nor epiglottis visible.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Comment, description=Narrative comment about the Cormack-Lehane grading., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], description=[], context=[], source=[], state=[], other_participations=[], data=[], activities=[], content=[], capabilities=[], identities=[], relationships=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Grading, description=A grading of the laryngeal anatomical visibility., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Grade 1: Full view of the glottis [Full view of the glottis.]
  • Grade 2: Partial view of the glottis or arytenoids [Partial view of the glottis or arytenoids.]
  • Grade 3: Only epiglottis visible [Only epiglottis visible.]
  • Grade 4: Neither glottis nor epiglottis visible [Neither glottis nor epiglottis visible.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Comment, description=Narrative comment about the Cormack-Lehane grading., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]